Individual
MELISSA ANN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 RILEY HOSPITAL DR, STE 4230, INDIANAPOLIS, IN 46202-5109
(317) 944-7888
(317) 944-7481
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28157102A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71003910A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000765661
ANTHEM PIN
IN
05
—
201065710
—
IN
Enumeration date
03/20/2012
Last updated
02/19/2025
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